Shorewood High School 2021 President's Volunteer Service Award Application

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If you think you qualify for the 2021 PVSA, please read the Eligibility Requirements carefully. Then, fill out this form. Direct any questions to Mrs. Stephens in the Shorewood College & Career Center marianne.stephens@shorelineschools.org.

ELIGIBILITY REQUIREMENTS

Between March 1, 2020 and February 28, 2021, you must:
• have performed at least 50 hours of service if you are under age 16
• have performed at least 100 hours of service if you are 16 or older
• have submitted all hours via your Canvas Class of 202x course

Last Name as it appears in your school record *

First Name as it appears in your school record *

k12 email address *

Grade Level *

Birthdate *

YYYY

Age as of February 28, 2021 *

Have you submitted all forms documenting your service via your Canvas Class of 202x course? If you have not, please do so ASAP. This award requires school verification. *

Yes

Between March 1 2020 and February 28 2021, how many total hours did you serve? We will have to verify this number with our records. *

By your calculation, which level award do you qualify for? *

Nonprofit Organization(s) where most of your hours were performed. Organization names are enough; we will contact you if we need more information. *

Parent/ Guardian Contact Information: name, email, and phone. Please let your parent/ guardian know that are applying for this award. *

Electronic Signature: type your full name as your signature. By signing, you are: 1) attesting that all of the information submitted is true and 2) you are consenting that your information--name, grade, age, hours served, and award level--will be shared with the local foundation that sponsors the awards. We will not share your or your parents' contact information. *

If you have any questions or individual circumstances we should know about as we review applications, please include them below.

Submit

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